Stapleton Psychological Services | |
1749 Se 2nd Ave Grand Rapids MN 55744-2576 | |
(218) 326-5694 | |
(218) 326-5313 |
Full Name | Stapleton Psychological Services |
---|---|
Speciality | Psychologist |
Location | 1749 Se 2nd Ave, Grand Rapids, Minnesota |
Authorized Official Name and Position | Kenneth Lynn Stapleton (OWNER) |
Authorized Official Contact | 2183265694 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Stapleton Psychological Services 1749 Se 2nd Ave Grand Rapids MN 55744-2576 Ph: (218) 326-5694 | Stapleton Psychological Services 1749 Se 2nd Ave Grand Rapids MN 55744-2576 Ph: (218) 326-5694 |
NPI Number | 1104205319 |
---|---|
Provider Enumeration Date | 05/20/2015 |
Last Update Date | 05/20/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104205319 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | LP3021 (Minnesota) | Primary |
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